Active NPI
Sandra S Lin-Lee, O.D.
- Optometrist
- Lakewood, CA
National Provider Identifier
1043343361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 9945T
- Practice address
- 2770 Carson St
Lakewood, CA 90712-4011 - Phone
- (562) 497-9476
- NPI assigned
- Mar 14, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 9945T | CA | Primary |
Addresses
Primary practice location
2770 Carson St
Lakewood, CA 90712-4011
Mailing address
13331 Beach Blvd
Westminster, CA 92683-9206
Other names 1
- Sandra S Lin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9945T | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706227200000",
"number": "1043343361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13331 BEACH BLVD",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926839206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2770 CARSON ST",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "907124011",
"telephone_number": "562-497-9476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIN-LEE",
"first_name": "SANDRA",
"middle_name": "S",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-14",
"last_updated": "2024-01-26",
"certification_date": "2024-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "9945T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SANDRA",
"last_name": "LIN",
"middle_name": "S",
"credential": "O.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Lakewood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.